DR. SYLVIA A MANALIS (MD) – Psychiatry Physician, NPI 1972572287
Psychiatry Physician
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DR. SYLVIA A MANALIS (MD)
3010 E STATE BLVD
FORT WAYNE, IN 468054700
Phone: (260) 471-2300
Fax: (260) 471-2778
Type: Mailing
3010 E STATE BLVD STE 600
FORT WAYNE, IN 468054762
Phone: (260) 471-2300
Fax: (260) 471-2778
Type: Location
Ivy Tech Community College Michigan City Campus, 3714, Franklin Street, Michigan City, LaPorte County, Indiana, 46360, United States
MICHIGAN CITY, IN 463607311
Phone: (219) 879-8539
Fax: (219) 879-8532
Type: Mailing
Oaklawn, 403, East Madison Street, South Bend, Saint Joseph County, Indiana, 46617, United States
SOUTH BEND, IN 466172322
Phone: (574) 234-0061
Fax: (574) 283-1209
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2020-02-03
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20200203002458 | I | Psychiatry | IN | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 46805)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Psychologist | MI | |
| Clinical Psychologist | IN | |
| Nurse Practitioner | IN |
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